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Patient Label Here UNIVERSITY MEDICAL CENTER Lubbock, TexasDISCLOSURE AND CONSENT MEDICAL AND SURGICAL PROCEDURES TO THE PATIENT: You have the right as a patient to be informed about your condition
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This disclosure is not an annual financial statement.
Individuals who are not involved in financial transactions.
This disclosure is not to be filled out as it is not a required form.
The purpose of this disclosure is not to provide financial information.
No information needs to be reported on this disclosure as it is not a required form.
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